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Internal and Emergency Medicine

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20.06.2022 | CE-Systematic reviews and meta-analysis

Internal jugular vein ultrasound for the diagnosis of hypovolemia and hypervolemia in acutely ill adults: a systematic review and meta-analysis

verfasst von: Michael Ke Wang, Joshua Piticaru, Coralea Kappel, Michael Mikhaeil, Lawrence Mbuagbaw, Bram Rochwerg

Erschienen in: Internal and Emergency Medicine | Ausgabe 5/2022

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Abstract

Accurate volume status assessments allow physicians to rapidly implement therapeutic measures in acutely unwell patients. However, existing bedside diagnostic tools are often unreliable for assessing intravascular volume. We searched PUBMED, EMBASE, CENTRAL, and Web of Science for English language articles without date restrictions on January 20, 2022. Studies reporting the diagnostic accuracy of IJV-US for hypovolemia and/or hypervolemia in an acute care setting were screened for inclusion. We included studies using any method of IJV-US assessment as the index test, compared against any reference standard. We fitted hierarchical summary receiver operating characteristic (HSROC) models for meta-analysis of diagnostic test accuracy, separately for hypovolemia and hypervolemia. Two reviewers independently extracted data and assessed risk of bias using QUADAS-2. We assessed certainty of evidence using the GRADE approach. A total of 26 studies were included, of which 19 studies (956 patients) examined IJV-US for hypovolemia and 13 studies (672 patients) examined IJV-US for hypervolemia. For the diagnosis of hypovolemia, IJV-US had a pooled sensitivity of 0.82 (95% CI 0.76 to 0.87; moderate-certainty evidence) and specificity of 0.82 (95% CI 0.73 to 0.88; moderate-certainty evidence). Measurement of IJV collapsibility indices had higher diagnostic accuracy (sensitivity 0.85, 95% CI 0.80 to 0.89; specificity 0.78, 95% CI 0.64 to 0.88) than static IJV indices (sensitivity 0.73, 95% CI 0.60 to 0.82; specificity 0.70, 95% CI 0.48 to 0.86). For the diagnosis of hypervolemia, IJV-US had a pooled sensitivity of 0.84 (95% CI 0.70 to 0.92; moderate-certainty evidence) and specificity of 0.70 (95% CI 0.55 to 0.82; very low-certainty evidence). IJV-US has moderate sensitivity and specificity for the diagnosis of hypervolemia and hypovolemia. Randomized controlled trials are needed to determine the role of IJV-US for guiding therapeutic interventions aimed at optimizing volume status.

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Kalantari K, Chang JN, Ronco C, Rosner MH (2013) Assessment of intravascular volume status and volume responsiveness in critically ill patients. Kidney Int 83(6):1017–1028. https://doi.org/10.1038/ki.2012.424CrossRefPubMed

Alvarado Sánchez JI, Caicedo Ruiz JD, Diaztagle Fernández JJ, Amaya Zuñiga WF, Ospina-Tascón GA, Cruz Martínez LE (2021) Predictors of fluid responsiveness in critically ill patients mechanically ventilated at low tidal volumes: systematic review and meta-analysis. Ann Intensive Care 11(1):28. https://doi.org/10.1186/s13613-021-00817-5CrossRefPubMedPubMedCentral

McGee S, Abernethy WB III, Simel DL (1999) The rational clinical examination. Is this patient hypovolemic? JAMA 281(11):1022–9. https://doi.org/10.1001/jama.281.11.1022CrossRefPubMed

Bednarczyk JM, Fridfinnson JA, Kumar A, Blanchard L, Rabbani R, Bell D et al (2017) Incorporating dynamic assessment of fluid responsiveness into goal-directed therapy. Crit Care Med 45(9):1538–1545. https://doi.org/10.1097/ccm.0000000000002554CrossRefPubMedPubMedCentral

Evans L, Rhodes A, Alhazzani W, Antonelli M, Coopersmith CM, French C et al (2021) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Crit Care Med. https://doi.org/10.1097/CCM.0000000000005337CrossRefPubMedPubMedCentral

Hollenberg SM, Warner Stevenson L, Ahmad T, Amin VJ, Bozkurt B, Butler J et al (2019) 2019 ACC expert consensus decision pathway on risk assessment, management, and clinical trajectory of patients hospitalized with heart failure: a report of the American college of cardiology solution set oversight committee. J Am Coll Cardiol 74(15):1966–2011. https://doi.org/10.1016/j.jacc.2019.08.001CrossRefPubMed

Martindale JL, Wakai A, Collins SP, Levy PD, Diercks D, Hiestand BC et al (2016) Diagnosing acute heart failure in the emergency department: a systematic review and meta-analysis. Acad Emerg Med 23(3):223–242. https://doi.org/10.1111/acem.12878CrossRefPubMed

Maw AM, Hassanin A, Ho PM, McInnes MDF, Moss A, Juarez-Colunga E et al (2019) Diagnostic accuracy of point-of-care lung ultrasonography and chest radiography in adults with symptoms suggestive of acute decompensated heart failure. JAMA Netw Open 2(3):e190703. https://doi.org/10.1001/jamanetworkopen.2019.0703CrossRefPubMedPubMedCentral

Roberts E, Ludman AJ, Dworzynski K, Al-Mohammad A, Cowie MR, McMurray JJV et al (2015) The diagnostic accuracy of the natriuretic peptides in heart failure: systematic review and diagnostic meta-analysis in the acute care setting. BMJ 350:h910. https://doi.org/10.1136/bmj.h910CrossRefPubMedPubMedCentral

10.

Smallwood N, Dachsel M (2018) Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond) 18(3):219–224. https://doi.org/10.7861/clinmedicine.18-3-219CrossRef

11.

Orso D, Paoli I, Piani T, Cilenti FL, Cristiani L, Guglielmo N (2018) Accuracy of ultrasonographic measurements of inferior vena cava to determine fluid responsiveness: a systematic review and meta-analysis. J Intensive Care Med 35(4):354–363. https://doi.org/10.1177/0885066617752308CrossRefPubMed

12.

Squizzato A, Maroni L, Marrazzo C, Riva N, Guasti L (2021) Diagnostic accuracy of inferior vena cava ultrasound for heart failure in patients with acute dyspnoea: a systematic review and meta-analysis. Emerg Med J 38(3):232–239. https://doi.org/10.1136/emermed-2019-208547CrossRefPubMed

13.

Ma IWY, Arishenkoff S, Wiseman J, Desy J, Ailon J, Martin L et al (2017) Internal medicine point-of-care ultrasound curriculum: consensus recommendations from the Canadian internal medicine ultrasound (CIMUS) group. J Gen Intern Med 32(9):1052–1057. https://doi.org/10.1007/s11606-017-4071-5CrossRefPubMedPubMedCentral

14.

Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB et al (2011) QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 155(8):529–536. https://doi.org/10.7326/0003-4819-155-8-201110180-00009CrossRefPubMed

15.

Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S et al (2004) Grading quality of evidence and strength of recommendations. BMJ 328(7454):1490. https://doi.org/10.1136/bmj.328.7454.1490CrossRefPubMed

16.

Khajehpour H, Behzadnia MJ (2021) The role of internal jugular vein Doppler ultrasonography in predicting hypovolemic shock in polytrauma patients. Ultrasonography. https://doi.org/10.14366/usg.21144CrossRefPubMedPubMedCentral

17.

Avcil M, Kapci M, Dagli B, Omurlu IK, Ozluer E, Karaman K et al (2015) Comparision of ultrasound-based methods of jugular vein and inferior vena cava for estimating central venous pressure. Int J Clin Exp Med 8(7):10586–10594PubMedPubMedCentral

18.

Bano S, Qadeer A, Akhtar A, Ata Ur-Rehman HM, Munawar K, Hussain SW et al (2018) Measurement of internal jugular vein and common carotid artery diameter ratio by ultrasound to estimate central venous pressure. Cureus 10(3):e2277. https://doi.org/10.7759/cureus.2277CrossRefPubMedPubMedCentral

19.

Broilo F, Meregalli A, Friedman G (2015) Right internal jugular vein distensibility appears to be a surrogate marker for inferior vena cava vein distensibility for evaluating fluid responsiveness. Rev Bras Ter Intensiva 27(3):205–11. https://doi.org/10.5935/0103-507X.20150042CrossRefPubMedPubMedCentral

20.

Guarracino F, Ferro B, Forfori F, Bertini P, Magliacano L, Pinsky MR (2014) Jugular vein distensibility predicts fluid responsiveness in septic patients. Critical Care (London, England) 18(6):647. https://doi.org/10.1186/s13054-014-0647-1CrossRef

21.

Haliloğlu M, Bilgili B, Kararmaz A, Cinel İ (2017) The value of internal jugular vein collapsibility index in sepsis. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery. TJTES 23(4):294–300. https://doi.org/10.5505/tjtes.2016.04832CrossRefPubMed

22.

Hilbert T, Ellerkmann RK, Klaschik S, Putensen C, Thudium M (2016) The use of internal jugular vein ultrasonography to anticipate low or high central venous pressure during mechanical ventilation. J Emerg Med 50(4):581–587. https://doi.org/10.1016/j.jemermed.2015.11.033CrossRefPubMed

23.

Hossein-Nejad H, Mohammadinejad P, Ahmadi F (2016) Internal jugular vein/common carotid artery cross-sectional area ratio and central venous pressure. J Clin Ultrasound JCU 44(5):312–318. https://doi.org/10.1002/jcu.22339CrossRefPubMed

24.

Iizuka Y, Nomura T, Sanui M, Mochida Y, Aomatsu A, Lefor AK (2020) Collapsibility of the right internal jugular vein predicts responsiveness to fluid administration in patients receiving pressure support ventilation: a prospective cohort study. J Clin Med Res 12(3):150–156. https://doi.org/10.14740/jocmr4064CrossRefPubMedPubMedCentral

25.

Jassim HM, Naushad VA, Khatib MY, Chandra P, Abuhmaira MM, Koya SH et al (2019) IJV collapsibility index vs IVC collapsibility index by point of care ultrasound for estimation of CVP: a comparative study with direct estimation of CVP. Open Access Emerg Med OAEM 11:65–75. https://doi.org/10.2147/OAEM.S176175CrossRefPubMed

26.

Keller AS, Melamed R, Malinchoc M, John R, Tierney DM, Gajic O (2009) Diagnostic accuracy of a simple ultrasound measurement to estimate central venous pressure in spontaneously breathing, critically III patients. J Hosp Med 4(6):350–355. https://doi.org/10.1002/jhm.503CrossRefPubMed

27.

Killu K, Coba V, Huang Y, Andrezejewski T, Dulchavsky S (2010) Internal jugular vein collapsibility index associated with hypovolemia in the intensive care unit patients. Crit Ultrasound J 2(1):13–17. https://doi.org/10.1007/s13089-010-0034-3CrossRef

28.

Ma GG, Hao GW, Yang XM, Zhu DM, Liu L, Liu H et al (2018) Internal jugular vein variability predicts fluid responsiveness in cardiac surgical patients with mechanical ventilation. Ann Intensive Care 8(1):6. https://doi.org/10.1186/s13613-017-0347-5CrossRefPubMedPubMedCentral

29.

Montoya Rojo JO, Zamora Gomez SE, Gorordo Delsol LA, Amezcua Gutierrez MA, Lima Lucero IM, Cruz Montesinos ES et al (2017) Internal yugular vein colapsability index as a predictor for hemodynamic optimization in prone position ARDS patients. Intensive Care Med Exp. https://doi.org/10.1186/s40635-017-0151-4CrossRef

30.

Munie S, Kandagatla P, Blyden D, Dereczyk D, Killu K (2019) Use of bedside ultrasound of internal jugular vein for assessment of intravascular volume. Crit Care Med. https://doi.org/10.1097/01.ccm.0000552266.49578.b7CrossRef

31.

Prekker ME, Scott NL, Hart D, Sprenkle MD, Leatherman JW (2013) Point-of-care ultrasound to estimate central venous pressure: a comparison of three techniques. Crit Care Med 41(3):833–841. https://doi.org/10.1097/CCM.0b013e31827466b7CrossRefPubMed

32.

Sekiguchi H, Seaburg LA, Suzuki J, Astorne WJ, Patel AS, Keller AS et al (2018) Central venous pressure and ultrasonographic measurement correlation and their associations with intradialytic adverse events in hospitalized patients: a prospective observational study. J Crit Care 44:168–174. https://doi.org/10.1016/j.jcrc.2017.10.039CrossRefPubMed

33.

Siva B, Hunt A, Boudville N (2012) The sensitivity and specificity of ultrasound estimation of central venous pressure using the internal jugular vein. J Crit Care 27(3):315.e7–11. https://doi.org/10.1016/j.jcrc.2011.09.008CrossRef

34.

Uthoff H, Siegemund M, Aschwanden M, Hunziker L, Fabbro T, Baumann U et al (2012) Prospective comparison of noninvasive, bedside ultrasound methods for assessing central venous pressure. Ultraschall Med. https://doi.org/10.1055/s-0031-1299506CrossRefPubMed

35.

Zamboni P, Malagoni AM, Menegatti E, Ragazzi R, Tavoni V, Tessari M et al (2020) Central venous pressure estimation from ultrasound assessment of the jugular venous pulse. PLoS One. https://doi.org/10.1371/journal.pone.0240057CrossRefPubMedPubMedCentral

36.

Jang T, Aubin C, Naunheim R, Lewis LM, Kaji AH (2012) Sonographic assessment of jugular venous distension and B-type natriuretic peptide levels in patients with dyspnoea. Emerg Med J EMJ 29(6):477–481. https://doi.org/10.1136/emj.2010.099432CrossRefPubMed

37.

Nik Muhamad NA, Safferi RS, Robertson CE (2015) Internal jugular vein height and inferior vena cava diameter measurement using ultrasound to determine central venous pressure: a correlation study. Med J Malaysia 70(2):63–66PubMed

38.

Simon MA, Schnatz RG, Romeo JD, Pacella JJ (2018) Bedside ultrasound assessment of jugular venous compliance as a potential point-of-care method to predict acute decompensated heart failure 30-day readmission. J Am Heart Assoc 7(15):e008184. https://doi.org/10.1161/JAHA.117.008184CrossRefPubMedPubMedCentral

39.

Tzadok B, Shapira S, Tal-Or E (2018) Ultrasound of jugular veins for assessment of acute dyspnea in emergency departments and for the assessment of acute heart failure. Isr Med Assoc J IMAJ 20(5):308–310PubMed

40.

Tzadok BS, Egbaria MA, Lumilsky D (2013) Ultrasound of internal jugular veins and correlation to pulmonary edema in emergency department patients a double blinded study. Ann Emerg Med 62(4 SUPPL. 1):S25–S26. https://doi.org/10.1016/j.annemergmed.2013.07.350CrossRef

41.

Jang T, Aubin C, Naunheim R, Lewis LM, Kaji AH (2011) Jugular venous distension on ultrasound: sensitivity and specificity for heart failure in patients with dyspnea. Am J Emerg Med 29(9):1198–1202. https://doi.org/10.1016/j.ajem.2010.07.017CrossRefPubMed

42.

Jang T, Aubin C, Naunheim R, Lewis LM, Kaji AH (2011) Jugular vein ultrasound and pulmonary oedema in patients with suspected congestive heart failure. Eur J Emerg Med 18(1):41–45. https://doi.org/10.1097/MEJ.0b013e32833b2566CrossRefPubMed

43.

Parenti N, Rossi G, Bacchi Reggiani ML, Luciani A (2015) A cross-sectional study on the correlation and validity of inferior vena cava and internal jugular vein ultrasound measurements in predicting central venous pressure in spontaneous breathing patients. Ann Emerg Med 66(4 SUPPL. 1):S105–S106CrossRef

44.

Doucet JJ, Ferrada P, Murthi S, Nirula R, Edwards S, Cantrell E et al (2020) Ultrasonographic inferior vena cava diameter response to trauma resuscitation after 1 hour predicts 24-hour fluid requirement. J Trauma Acute Care Surg 88(1):70–79. https://doi.org/10.1097/TA.0000000000002525CrossRefPubMed

45.

Fields JM, Lee PA, Jenq KY, Mark DG, Panebianco NL, Dean AJ (2011) The interrater reliability of inferior vena cava ultrasound by bedside clinician sonographers in emergency department patients. Acad Emerg Med 18(1):98–101. https://doi.org/10.1111/j.1553-2712.2010.00952.xCrossRefPubMed

46.

Socransky SJ, Wiss R, Robins R, Anawati A, Roy MA, Yeung IC (2010) Defining normal jugular venous pressure with ultrasonography. CJEM 12(4):320–324. https://doi.org/10.1017/s1481803500012409CrossRefPubMed

47.

Socransky S, Lang E, Bryce R, Betz M (2017) Point-of-care ultrasound for jugular venous pressure assessment: live and online learning compared. Cureus. https://doi.org/10.7759/cureus.1324CrossRefPubMedPubMedCentral

48.

Deol GR, Collett N, Ashby A, Schmidt GA (2011) Ultrasound accurately reflects the jugular venous examination but underestimates central venous pressure. Chest 139(1):95–100. https://doi.org/10.1378/chest.10-1301CrossRefPubMed

49.

Marik PE, Cavallazzi R (2013) Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med 41(7):1774–1781. https://doi.org/10.1097/CCM.0b013e31828a25fdCrossRefPubMed

50.

Silversides JA, McAuley DF, Blackwood B, Fan E, Ferguson AJ, Marshall JC (2020) Fluid management and deresuscitation practices: a survey of critical care physicians. J Intensive Care Soc 21(2):111–118. https://doi.org/10.1177/1751143719846442CrossRefPubMed

51.

Shah P, Louis M (2022) Physiology, central venous pressure. StatPearls [Internet]. StatPearls Publishing

52.

Marbach JA, Almufleh A, Di Santo P, Jung R, Simard T, McInnes M et al (2019) Comparative accuracy of focused cardiac ultrasonography and clinical examination for left ventricular dysfunction and valvular heart disease: a systematic review and meta-analysis. Ann Intern Med 171(4):264–272. https://doi.org/10.7326/m19-1337CrossRefPubMed

Titel: Internal jugular vein ultrasound for the diagnosis of hypovolemia and hypervolemia in acutely ill adults: a systematic review and meta-analysis
verfasst von: Michael Ke Wang
Joshua Piticaru
Coralea Kappel
Michael Mikhaeil
Lawrence Mbuagbaw
Bram Rochwerg
Publikationsdatum: 20.06.2022
Verlag: Springer International Publishing
Erschienen in: Internal and Emergency Medicine / Ausgabe 5/2022
Print ISSN: 1828-0447
Elektronische ISSN: 1970-9366
DOI: https://doi.org/10.1007/s11739-022-03003-y

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Internal jugular vein ultrasound for the diagnosis of hypovolemia and hypervolemia in acutely ill adults: a systematic review and meta-analysis

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